n South African Medical Journal - The effects of obesity, smoking, and excessive alcohol intake on healthcare expenditure in a comprehensive medical scheme : correspondence




To the Editor: In your November 2013 edition, Sturm et al. confirm quantitatively that which we clinicians have known qualitatively for many years, viz. that 'obesity and tobacco use are associated with significantly increased healthcare expenditure'. This, and other research papers on the same issue, prompt me to ask when the Commissioner of Medical Schemes will permit the various medical aids to charge non-smokers, and those of an appropriate body mass index, a lower monthly premium?


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